Reaction Time Across the Menstrual Cycle: A Critically Appraised Topic

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Kelsey A. Marshall Department of Kinesiology and Brock Sports Medicine, Brock University, St. Catharines, ON, Canada

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https://orcid.org/0000-0002-8359-2755
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Nicole J. Chimera Department of Kinesiology and Centre for Healthy Youth Development Through Sport, Brock University, St. Catharines, ON, Canada

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Clinical Scenario: Reaction time is integral in many tasks during work, sport, and life, thus, alterations in reaction time may impact performance and injury risk. There are various factors that can influence reaction time, such as the physical state of the individual, including their age or sex. When comparing males and females, there is a major physiological difference to their physical state as hormones fluctuate during menstrual cycle phases, which not only affects the reproductive system, but females may experience physiological, cardiovascular, respiratory, or metabolic changes throughout their menstrual cycle phases. Therefore, this goal of this critically appraised topic is to examine whether reaction time changes during menstrual cycle phases. Focused Clinical Question: In healthy, eumenorrheic females, does reaction time change from one menstrual cycle phase to other menstrual cycle phases? Summary of Key Findings: Among the five studies evaluated in this CAT, all found significant changes to reaction time during phases of the menstrual cycle. Most studies found that reaction time was inversely related to sex hormone levels, indicating that phases with low hormone levels had longer reaction time than those phases with higher hormone levels; however, one study found reaction time to be prolonged or slower during the luteal phase, when hormone levels are higher. Clinical Bottom Line: Both auditory and visual reaction times vary across the menstrual cycle in healthy females with regular menstrual cycles (frequency and length). Given these findings, it is important to incorporate reaction time training across all phases of the menstrual cycle in female athletes. Strength of Clinical Recommendation: Based on the Strength of Recommendation Taxonomy, a Grade C is the strength of recommendation.

Reaction time fluctuates during menstrual cycle phases.

Most studies suggest that menstrual cycle phases with low hormone levels correspond to longer reaction time; however, one study found phases with high hormone levels associated with longer reaction times.

Incorporating reaction time training across all phases of menstrual cycle is important.

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  • 1.

    Nene AS, Pazare PA. A study of auditory reaction time in different phases of the normal menstrual cycle. Indian J Physiol Pharmacol. 2010;54(4):386390. PubMed ID: 21675039

    • Search Google Scholar
    • Export Citation
  • 2.

    Swanik CB, Covassin T, Stearne DJ, Schatz P. The relationship between neurocognitive function and noncontact anterior cruciate ligament injuries. Am J Sports Med. 2007;35(6):943948. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Wilkerson GB. Neurocognitive reaction time predicts lower extremity sprains and strains. Int J Athl Ther Train. 2012;17(6):49. doi:

  • 4.

    Kopell BS, Lunde DT, Clayton RB, Moos RH. Variations in some measures of arousal during the menstrual cycle. J Nerv Ment Dis. 1969;148(2):180187. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Sims ST, Heather AK. Myths and methodologies: reducing scientific design ambiguity in studies comparing sexes and/or menstrual cycle phases. Exp Physiol. 2018;103(10):13091317. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Reed BG, Carr BR. The normal menstrual cycle and the control of ovulation. In: Feingold KR, Anawalt B, Blackman MR, et al, eds. Endotext. MDText.com, Inc.; 2000.

    • Search Google Scholar
    • Export Citation
  • 7.

    Vandenbroucke JP, Von Elm E, Altman DG, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Int J Surg. 2014;12(12):15001524. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Şenol D, Uçar C, Toy Ş, et al. Analysis of the effects of hypothalamic–pituitary–adrenal axis activity in menstrual cycle on ankle proprioception, dynamic balance scores and visual-auditory reaction times in healthy young women. J Musculoskelet Neuronal Interact. 2021;21(1):8592. PubMed ID: 33657758

    • Search Google Scholar
    • Export Citation
  • 9.

    Simić N, Ravlić A. Changes in basal body temperature and simple reaction times during the menstrual cycle. Arh Hig Rada Toksikol. 2013;64(1):99106. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Kumar S, Mufti M, Kisan R. Variation of reaction time in different phases of menstrual cycle. J Clin Diagn Res. 2013;7(8):16041605. doi:

  • 11.

    Sudheer C, Jagadeesan S, Kammar KF. Auditory and visual reaction times during the menstrual cycle. Natl J Physiol Pharm Pharmacol. 2017;7(3):1300. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Choksi T, Anandh S. Effectiveness of tailored reaction time training drills in addition to warm-up sessions on performance parameters in recreational cricket players. Indian J Forensic Med Toxicol. 2020;14(3):22222227. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Ebell MH, Siwek J, Weiss BD, et al. Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. Am Fam Physician. 2004;69(3):548556. PubMed ID: 14971837

    • Search Google Scholar
    • Export Citation
  • 14.

    Number of NCAA college athletes reaches all-time high. National Collegiate Athletic Association. October 10, 2018. Accessed May, 3, 2023. http://www.ncaa.org/about/resources/media-center/news/number-ncaa-college-athletes-reaches-all-time-high.

    • Search Google Scholar
    • Export Citation
  • 15.

    Herzberg SD, Motu’apuaka ML, Lambert W, Fu R, Brady J, Guise JM. The effect of menstrual cycle and contraceptives on ACL injuries and laxity: a systematic review and meta-analysis. Orthop J Sports Med. 2017;5(7):718. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Martin D, Timmins K, Cowie C, et al. Injury incidence across the menstrual cycle in international footballers. Front Sports Act Living. 2021;3:616999. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Bruce J, Russell GF. Premenstrual tension. A study of weight changes and balances of water, sodium, and postassium. Lancet Lond Engl. 1962;2(7250):267271. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Allen AM, McRae-Clark AL, Carlson S, et al. Determining menstrual phase in human biobehavioral research: a review with recommendations. Exp Clin Psychopharmacol. 2016;24(1):57. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
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